{"title":"Self-management of patients with chronic obstructive pulmonary disease: a best practice implementation project.","authors":"Liping Liao, Qiuhong Guo, Yansi Luo, Qing Yuan, Tingting He, Zhen Xiao, Lifen Wang, Ping Wang, Ping Li, Lijuan Qiu, Yan Guo, Xia Shu, Jing Zhong, Yun-Hua Li, Ju Wu","doi":"10.1097/XEB.0000000000000597","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>People with chronic obstructive pulmonary disease (COPD) experience high prevalence and mortality rates, along with episodes of exacerbation, poorer quality of life, and increased hospital readmission. These aspects place a considerable burden on the economy and society. Despite the availability of COPD self-management guidelines, a gap between recommendations and practice persists.</p><p><strong>Objective: </strong>This project aimed to improve self-management among patients with COPD by implementing evidence-based practices in a tertiary hospital in China.</p><p><strong>Methods: </strong>The JBI Evidence Implementation Framework was used to structure this project into three phases of work. Phase 1 focused on contextual issues related to barriers and understanding roles and readiness for change. Phase 2 consisted of a baseline audit of six evidence-based criteria. Strategies were implemented to improve patient self-management plans, patient education, application of action planning tools, cognitive behavior related to dyspnea fear, and inter-disciplinary teamwork. Phase 3 comprised follow-up audits to determine any improvements.</p><p><strong>Results: </strong>Five of the six criteria demonstrated significant improvement in the follow-up results, increasing from 86.25% to 100%. This included self-management plans (95%), symptom control and exacerbation management instructions (100%), comprehensive patient education (91.25%), action plans (86.25%), and incorporation of cognitive-behavioral strategies (90%). The last criterion on prescribing corticosteroids and antibiotics for patients at risk of exacerbation showed a smaller improvement (16.25%).</p><p><strong>Conclusion: </strong>This best practice implementation project significantly improved adherence to COPD self-management practices. The findings demonstrate that the JBI Evidence Implementation Framework is a feasible and effective approach for strengthening COPD self-management and has strong potential for wider implementation and sustainability in clinical practice.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A572.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Jbi Evidence Implementation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/XEB.0000000000000597","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Background: People with chronic obstructive pulmonary disease (COPD) experience high prevalence and mortality rates, along with episodes of exacerbation, poorer quality of life, and increased hospital readmission. These aspects place a considerable burden on the economy and society. Despite the availability of COPD self-management guidelines, a gap between recommendations and practice persists.
Objective: This project aimed to improve self-management among patients with COPD by implementing evidence-based practices in a tertiary hospital in China.
Methods: The JBI Evidence Implementation Framework was used to structure this project into three phases of work. Phase 1 focused on contextual issues related to barriers and understanding roles and readiness for change. Phase 2 consisted of a baseline audit of six evidence-based criteria. Strategies were implemented to improve patient self-management plans, patient education, application of action planning tools, cognitive behavior related to dyspnea fear, and inter-disciplinary teamwork. Phase 3 comprised follow-up audits to determine any improvements.
Results: Five of the six criteria demonstrated significant improvement in the follow-up results, increasing from 86.25% to 100%. This included self-management plans (95%), symptom control and exacerbation management instructions (100%), comprehensive patient education (91.25%), action plans (86.25%), and incorporation of cognitive-behavioral strategies (90%). The last criterion on prescribing corticosteroids and antibiotics for patients at risk of exacerbation showed a smaller improvement (16.25%).
Conclusion: This best practice implementation project significantly improved adherence to COPD self-management practices. The findings demonstrate that the JBI Evidence Implementation Framework is a feasible and effective approach for strengthening COPD self-management and has strong potential for wider implementation and sustainability in clinical practice.
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